Dunn RJ
The Time limited ED care targets page has been updated, including the addition of a small segment on patient types and target achievement, the (mostly hidden) negative effects of ‘clock stopping’ techniques widely employed in Australian EDs and reasons why time based targets may reduce overall productivity.
A short segment on delayed cardioversion in new onset AF has been added to the Atrial fibrillation arrhythmia management page.
A new segment on Tibial tuberosity fractures has been added to the Knee and leg fractures page.
A substantial segment on Assessment of shock in trauma has been added to the Assessment of the trauma patient page. This is intended as a reminder that there are numerous other potential causes for shock in the patient with major trauma undergoing resuscitation, other than just blood loss.
The Ocular trauma page has been updated with an expanded section on superglue in the eye.
The Pulmonary aspiration page has had a significant revision, particularly in relation to antibiotic choices and the reduced importance of anaerobic bacteria in secondary pneumonia.
The Affective disorders page has been updated with a significant update to the segment on Depression.
The Ophthalmic medications and treatmentss page has been updated with additional information about eye drops for glaucoma.
The Glaucoma page has been updated with additional information about open angle glaucoma management.
The Neonatal resuscitation page has been updated with a revision of the adrenaline doses used for IV and endotracheal administration.
The Diuretics page has been updated with additional information about the pharmacology of loop diuretics.
The Management of heart failure page has been updated, including additional information about the use of diuretics in heart failure.
The Vertigo page has had another update with more features that help differentiate central from peripheral causes.
The Onsite management of mass casualties page has had some major additions and updating.
The Disaster medicine page has had a minor rewrite and re-organisation.
The Paediatric head trauma page has been updated to reflect that expert clinical judgement is superior to the commonly cited paediatric head injury rules.
The Neonatal resuscitation page has been updated, including additional information about high tidal volumes and risk of ICH in neonates.
The Neonatal resuscitation page has been updated and significantly re-organised to aid clarity.
A short segment on diagnosing the cause(s) of difficult intubation has been added to the Difficult intubation page, as well as a few other minor changes.
The Endotracheal intubation page has been updated including a modification of the recommended use of bag mask ventilation during induction in the critically ill patient. Casey, JD, Janz, DR, Russell, DW, et al. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. N Engl J Med 2019 .